Provider Demographics
NPI:1366862401
Name:NGUYEN, VAN ANH (AP, DIPLOM)
Entity Type:Individual
Prefix:MRS
First Name:VAN
Middle Name:ANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:AP, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 KETCH CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-1839
Mailing Address - Country:US
Mailing Address - Phone:407-404-0699
Mailing Address - Fax:407-291-2236
Practice Address - Street 1:5290 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7623
Practice Address - Country:US
Practice Address - Phone:407-404-0699
Practice Address - Fax:407-291-2236
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3249171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist